Improving the accuracy of 99Tcm-mercapto-acetyltriglycine clearance by using two blood samples instead of one?

Research output: Contribution to journalResearch articleContributedpeer-review

Contributors

  • A. Piepsz - , Free Universities of Brussels (Author)
  • J. Kinthaert - , Free Universities of Brussels (Author)
  • I. Gordon - , Hospital for Sick Children (Author)
  • K. Hahn - , Johannes Gutenberg University Mainz (Author)
  • J. Kolinska - , Regional Hospital (Author)
  • J. Kotzerke - , Hannover Medical School (MHH) (Author)
  • R. Sixt - , University of Gothenburg (Author)
  • H. R. Ham - , Free Universities of Brussels (Author)

Abstract

From a database of 133 patients (98 children and 35 adults) who underwent multiple blood sampling for 99Tcm-mercaptoacetyltriglycine (MAG3) clearance, we determined simplified algorithms allowing the estimation of clearance. A one-compartment model with two blood samples was applied. The best choices for the adult population were the 12 and 90 min blood samples, giving a standard error of the estimate (S.E.E.) of less than 10 ml min-1 1.73 m-2; for the children, the 10 and 80 min blood samples gave a S.E.E. of 20 ml min-1 1.73 m-2; for both the adults and the children, the 10 and 70 min blood samples gave the best results with, however, a S.E.E. of 19 ml min-1 1.73 m-2. The use of such a combined algorithm will therefore result in a degradation of the results in adults, suggesting that a separate algorithm for each group is preferable. We compared the accuracy of the two blood sample method to the one blood sample method based on previously published algorithms for children and adults, respectively. The S.F.E. was significantly lower, in adults as well as in children, using the empirical two blood sample method. This two blood sample method seems potentially useful for routine practice in adult patients. The advantages of using such a method in children is balanced by the practical problems inherent in the need to take a second blood sample during the first 10 min, at a time when the plasma activity is rapidly decreasing.

Details

Original languageEnglish
Pages (from-to)529-532
Number of pages4
JournalNuclear medicine communications
Volume15
Issue number7
Publication statusPublished - Jul 1994
Peer-reviewedYes
Externally publishedYes

External IDs

PubMed 7970429

Keywords